VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)

VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)

What Is VA Form 21P-534?

VA Form 21P-534, Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), is used by a surviving spouse or child of a deceased veteran to claim the U.S. Department of Veterans Affairs (VA) benefits they may be entitled to receive. Besides, this form may be used to apply for the accrued benefits (money that is owed to the veteran by the VA but did not pay before the death).

The latest version of the form - formerly known as VA Form 21-534 - was released on , with previous editions obsolete. An up-to-date fillable version of VA Form 21P-534 is available for digital filing and download below. The application has two related forms:

  1. VA Form 21P-534EZ, Application for DIC, Survivors Pension, and/or Accrued Benefits.
  2. VA Form 21P-534A, Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In-Service Death Only.

You may use the first document to claim DIC, survivor pension, and/or accrued benefits when the second one is filled out in order to request benefits related to the in-service death of a veteran.

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VA Form 21P-534 Instructions

General instructions for VA Form 21P-534 are provided on the first page of the document. You can detach and keep them for future reference. As defined by law, the amount of pension VA pays is based on the family income and assets, as well as on the number of dependent children. Your complete and correct information will be used to determine your eligibility for the benefits.

You can assign a VA accredited Veterans Service Organization, a VA accredited attorney/claims agent, or other service organization recognized by the Secretary of Veterans Affairs to act as your official representative. If you wish to use a representative, you need to contact your local VA office and fill out the corresponding forms.

You can ask for a personal hearing during processing the claim or after receiving the VA decision if you believe the VA has made an error. Notify your local VA office and an authorized representative will schedule a time and place for the hearing.

How to Fill Out VA Form 21P-534?

When completing the VA 21P-534, it is necessary to print all the answers clearly. All the required items must be filled out. If the answer is "unknown," "no," or "0," that should be indicated in the corresponding field. Filing instructions are as follows:

  1. Provide information on the type of benefits you request, whether you and the veteran have filed any other claims, and your relationship to the veteran in Part I ("Claim Information").
  2. Provide personal information about yourself and the veteran in Part II ("Identifying Information").
  3. Indicate all the required information for all periods of the veteran's service in Part III ("Veteran's Active Duty Service"). If the veteran has never filed any claim with the VA, attach the original DD Form 214, Certificate of Release or Discharge From Active Duty, or its certified copy to this form. The original documents will be returned after processing.
  4. Fill out Part IV ("Marital Information"). If you request benefits as the surviving spouse, it is necessary to complete Items 22A through 28 providing complete information about your and the veteran union. Otherwise, skip to Part V.
  5. Enter information about the biological, adopted, and stepchildren of the veteran in Part V ("Dependent Children"). If you are not claiming benefits for the veteran's children, move on to Part VI.
  6. CompletePart VI ("Housebound") if you request aid and benefits because of being housebound, in a nursing home, or requiring aid and attendance. Moreover, when you claim expenses for an assisted living facility or adult daycare it is necessary to complete VA aid and attendance form worksheets attached to this document.
  7. Provide all relevant information in Parts VII and VIII ("Income and Assets") and Part IX ("Direct Deposit Information").
  8. Fill out Part X ("Medical") if you request unreimbursed medical expenses. Describe all medical, burial, and other unreimbursed expenses.
  9. Sign and date the completed VA 21P-534 in Part XI ("Signature").
  10. Provide any additional data in Part XII ("Remarks").

Where to Mail VA Form 21P-534?

Mail the completed VA 21P-534 Form, as well as all the supporting documentation to the nearest regional VA office. The mailing addresses of all the VA offices can be found on the VA official website.

Download VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)

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  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)

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  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 1
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 2
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 3
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 4
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 5
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 6
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 7
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 8
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 9
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 10
  • VA Form 21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), Page 11
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